Step 3 - Payment Receipt
Account Information
Payment Type: Child Support Payment
Address: 123 Anytown Road, Colorado Springs, CO 80923
Phone Number: 515-555-6749
Social Security Number: 304943030
Non-Custodial Parent Name: David H. Tennant
Custodial Parent: Kathy Hill
Cause Number: 02D07-1008-JP-0538A
Payment Information
Cardholder Name: David Tennant
Card Number: ************4444
Amount: $100.00
Convenience Fee: $1.00
Total Amount: $101.00
Congratulations
Your transaction has been successfully completed.
Your confirmation number is:
5015236
September 8, 2018, 3:04pm EST
Please print this page for your records.
